HRT

Question 1

Which of the following is a CI for starting HRT
Previous hx of DVT
Age over 55 years
Mild hot flushes
Post hysterectomy

Answer 1

Previous hx of DVT
Unless on anticoagulant.

Question 2

Which of the following routes of HRT is considered to have the lowest risk of VTE
Oral tabs
Transdermal patches
Vaginal pessaries
Implants

Answer 2

Transdermal

Question 3

A 50 year old woman with a hx of breast cancer asks about HRT for managing menopausal symptoms which of the following is the most appropriate course of action
- Prescribe combined HRT, as it is suitable for women in early menopause
- Advise against HRT and recommend non hormonal treatments for symptom management
- Offer transdermal oestrogen only
- Prescribe HRT with a low dose oral progestogen

Answer 3

Advise against HRT and recommend non hormonal such as lifestyle (diet, exercise, herbal supplements, cognitive behavioural therapy)